Work

A targeted erector spinae plane block for treatment of chronic postsurgical myofascial pain: A case report

Year: 2025

Type: article

Abstract: Chronic thoracic pain following spinal surgery can be difficult to manage. We present the case of a 55-year-old patient with severe post-surgical thoracic pain refractory to conventional therapies. Endoscopic imaging and elastography revealed thoracolumbar fascial fibrosis. A targeted erector spinae plane (ESP) block, performed under combined ultrasound and micro-endoscopic guidance, provided immediate and sustained relief. Serial elastography demonstrated improved fascial elasticity correlating with clinical recovery. This case highlights the diagnostic and therapeutic value of fascia-focused assessment and treatment in chronic post-surgical myofascial pain.

Source: JCA advances.

DOI: 10.1016/j.jcadva.2025.100128

Authors: Pierfrancesco Fusco, Francesco Marrone, Gian Marco Petroni, Carmine Pullano, Carla Stecco

Institutions: Ospedale di Santo Spirito, Azienda Ospedaliera S.Maria, University of Padua

Language: English

Topic: Myofascial pain diagnosis and treatment

Subfield: Cell Biology

Field: Biochemistry, Genetics and Molecular Biology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,200